the university of alabama student application packet information

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The University of Alabama Student Application Student CWID: ______________________________________________________________ Last Name: _________________________________________________________________ First Name: _________________________________________________________________ First Major: _________________________________________________________________ Second Major: ______________________________________________________________ Minor: ____________________________________________________________________ Citizenship Status: ___________________________________________________________ Cell Phone #: _______________________________________________________________ Crimson Email Address: _______________________________________________________ Personal Email Address: ______________________________________________________ Permanent Address: _________________________________________________________ City: _______________________________________ State: ________________________ Student Signature: __________________________________ Date: ___________________

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The University of Alabama Student Application

Student CWID: ______________________________________________________________

Last Name: _________________________________________________________________

First Name: _________________________________________________________________

First Major: _________________________________________________________________

Second Major: ______________________________________________________________

Minor: ____________________________________________________________________

Citizenship Status: ___________________________________________________________

Cell Phone #: _______________________________________________________________

Crimson Email Address: _______________________________________________________

Personal Email Address: ______________________________________________________

Permanent Address: _________________________________________________________

City: _______________________________________ State: ________________________

Student Signature: __________________________________ Date: ___________________

COOPERATIVE EDUCATION STUDENT INFORMATION ESSAY

INSTRUCTIONS: Please answer the following questions in brief essay format. To do so, keep these basic writing techniques in mind: Think through your answer before writing. Generate ideas. Assess your subject and audience. Write out a rough draft. Keep your response concise. Stay focused on the question at hand. Develop a main point. Be sure your ideas are linked.

1. When and why did you become interested in the Cooperative Education Program? How do you hope to benefit from becoming involved in co-op?

2. Is there a particular field in your curriculum in which you have a special interest? If so, please elaborate on the reasons for that interest. 3. Discuss briefly the chronology of jobs you have had and the nature of the work involved. Where appropriate, indicate the importance of a job as it relates to your future career. Include self-employment if applicable.

Student Essay Questions Page 2

4. To what extent have you earned (or are currently earning) money towards the cost of your education? If you are the recipient of a scholarship, please indicate the nature of the award.

5. Students who co-op often have to travel to or temporarily relocate in other states. At times they must also be away from campus and campus activities during fall or spring semesters. Discuss the problems, if any, and effects of relocating wherever a particular job might be for you.

6. In your opinion, what qualities, characteristics, traits, and skills are necessary or desirable in pursuing your educational and career goals? How do they relate to cooperative education?

Statement of Understanding

I understand and agree that upon accepting a co-op position I will complete my work assignments in full insofar as I am able. In case of extenuating circumstances, I will notify the Co-op Program office and my employer in a timely manner of any necessary alteration in my work or school schedule.

I agree that if I am referred to a company by the Co-op Program and am subsequently hired, I will register for the appropriate class offering prior to beginning a work period and pay the University co-op fee each semester and summer period that I am employed at that company. I also understand that payment of my co-op fees will maintain my student status and that failure to pay those fees on time will result in a penalty being assessed. Additionally, I agree to report to the Co-op program office for a post-work interview with a coordinator within 30 days of returning to campus after each work assignment.

I hereby authorize, pursuant to Section 438(b)4(b) of the Family Education Rights and Privacy Act of 1974, the Co-op Program office to obtain and to release on my behalf to actual and prospective employers such information contained in my academic records as is necessary to aid such employers in assessing my potential and eligibility for co-op positions. I understand that it is the normal policy of the co-op Program office to furnish grades of participating students each semester to their co-op employers. I grant permission to the Cooperative Education Program to furnish copies of my reports and job performance evaluations to faculty in my major department and to make copies of my work reports available to students who are considering applying for co-op positions.

I understand that in order to give students with visual, learning, motor, or other handicaps or learning disabilities special assistance, the Co-op Program must be cognizant of those needs. I understand that although students are not required to reveal handicaps, such information will be maintained in confidence and will be used only to assist the staff in planning and advising. I acknowledge, therefore the Program’s request that the Director be advised of any assistance needed by me.

Applicant Signature Date

Statement of Ethical Conduct for Cooperative Education Students

The principles outlined below are designed to serve as guides for professional development and conduct. They are intended to serve as a framework within which professionalism can be promoted. If put into practice, these principles will benefit all those involved in the Cooperative Education Program.

A. Prior to Placement1) Students should present their qualification & interests as honestly & accurately as possible when interviewing for a co-op position.2) Students should notify their co-op coordinator of any interview conducted outside the co-op office and any acceptance or rejection of

employment offers. This should be done at the earliest possible time.3) After accepting a co-op job offer, students should withdraw from the job seeking process by notifying both their co-op coordinator and any

employer with whom offers may be pending.4) During each registration period in which a student holds a co-op position, each student will register and pay tuition for the appropriate co-op

class listing.

B. Academic Responsibilities And Requirements1) Co-op requires that any applicant or participant be considered in good academic standing within their respective College or Division.2) Students should honor the policies and procedures of The UofA, and those of the University’s Cooperative Education Program.

C. On The Job Conduct1) During any work period, students are subject to their co-op employer’s rules and regulations with regard to hours of work, benefits, holidays,

dress code, etc.2) Personal business conducted during working hours utilizing employer resources (telephones, copiers, etc) is strongly discouraged.3) Use of controlled substances (alcohol or drugs) prior to or during work is prohibited.4) Students will strive to be fair, considerate, honest, trustworthy, and cooperative when dealing with others while at work.5) All assignments and responsibilities will be carried out in a reliable and efficient manner.6) A professional work ethic will be maintained at all times.7) Professional effectiveness will be enhanced by improving skills and acquiring new knowledge.8) Students will complete an evaluation of each co-op work period prior to returning to campus and will make a post work appointment with a co-op

coordinator during the first two (2) weeks after returning to campus.9) Should a change in employment or school status be anticipated or if a serious problem arises, the student should immediately notify the co-op

coordinator.

Student Signature Date